Individual provider Active NPI

Lorrie D Davis, C.R.N.P.

  • Acute Care Nurse Practitioner
  • Elkmont, AL
National Provider Identifier
1659575785
Registry record updated Oct 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1-084097 Issued in AL
Practice address
25442 Ala Hwy 127
Elkmont, AL 35620
Phone
(256) 732-3712
Fax
(256) 732-3714
NPI assigned
Jun 13, 2007
Last updated
Oct 8, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1-084097 AL Primary

Addresses

Primary practice location

25442 Ala Hwy 127
Elkmont, AL 35620

Mailing address

PO Box 449
Elkmont, AL 35620-0449
Phone (256) 732-3712

Other identifiers 1

IdentifierTypeStateIssuer
891010160MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050826000937 AL Practitioner - Nurse Practitioner 6002847290 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Physicians GroupGroup PAC ID 5496669350, 47 clinicians
West Madison Urgent and Primary Care LLCGroup PAC ID 4486034774, 10 clinicians

Practice addresses (Care Compare)

101 Sivley Rd SW
Huntsville, AL 35801-4421
Phone (256) 265-9889

11202 County Line Rd
Suite a
Madison, AL 35758-4866
Phone (256) 278-3080

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
West Madison Urgent & Primary Care, LLC Single Specialty CurrentSince Nov 21, 2025 Accepting new patients
Emergency Physicians Group Single Specialty CurrentSince Aug 24, 2023 Accepting new patients

Locations

101 Sivley Rd SW
Huntsville, AL 35801
Phone (256) 265-9870

11202 County Line Rd
Ste A
Madison, AL 35756
Phone (256) 278-3080

8375 Highway 72 W
Madison, AL 35758
Phone (256) 265-2012

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25760/brand/1/csg/1/fhir/r4
  • Direct secure messaging: lorrie.davis.1@25760.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412726400000",
    "number": "1659575785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 449",
            "city": "ELKMONT",
            "state": "AL",
            "postal_code": "356200449",
            "telephone_number": "256-732-3712",
            "fax_number": "256-732-3714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25442 ALA HWY 127",
            "city": "ELKMONT",
            "state": "AL",
            "postal_code": "35620",
            "telephone_number": "256-732-3712",
            "fax_number": "256-732-3714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LORRIE",
        "middle_name": "D",
        "credential": "C.R.N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-13",
        "last_updated": "2014-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-084097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891010160",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkmont, AL

Sources for this page

Verify at the official NPI Registry.